Bracho, Paul

Bracho, Paul is an sole proprietor health care provider with primary practice located at 4300 Rose Dr , Yorba Linda CA 92886-2026. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bracho, Paul can be contacted via phone (714) 528-4211.

Contact Information

Primary practice address
4300 Rose Dr Yorba Linda CA 92886-2026
Phone: (714) 528-4211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MCF25349 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS15134 California

Profile Details

NPI number 1326185018
LBN Legal business name Bracho, Paul
Credentials LCSW MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Sep 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326185018 NPPES
California Other ZZZ244865Z BLUE SHIELD PROVIDER ID
California Other LCS15134 BLUE SHIELD PROVIDER ID
California Other MFC25349 BLUE SHIELD PROVIDER ID

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